What should you know about medication for indigestion and heartburn?

Medication for indigestion and heartburn may provide short-term relief, but repeated or severe symptoms need assessment for an underlying cause. Antacids, alginates and acid-reducing medicines work in different ways; a pharmacist or clinician can help select an option and check interactions.

Indigestion can include upper abdominal discomfort, early fullness, bloating or belching, while heartburn is a burning feeling behind the breastbone. Acid Reflux is one possible cause. Gastritis, a Peptic Ulcer, Gallstones, Hiatus Hernia or Helicobacter Pylori Infection can also produce digestive symptoms. The symptom pattern and examination help determine whether medicine alone is appropriate.

Follow the product label and do not take more than directed. Separate some antacids from other medicines because they can affect absorption; ask a pharmacist about your full medication list. Smaller meals, avoiding a late meal, reducing foods that clearly trigger symptoms and raising the head of the bed may help. Do not stop prescribed medicine without advice. If symptoms continue despite treatment, arrange a review.

Seek urgent help for chest pain with sweating or breathlessness, vomiting blood, black stools, fainting, severe abdominal pain or trouble swallowing. Arrange a medical review for unexplained weight loss, persistent vomiting, anaemia symptoms or symptoms that keep returning. New or changing indigestion should be assessed rather than repeatedly treated at home.

Ask which medicine fits your symptoms, how long to try it, whether testing for Helicobacter Pylori Infection is appropriate, and which warning signs should prompt review.